Lonely at the Top

In this solo episode, Rachel reflects on a listener’s response to Executive Fashion as Armor, Ritual, and Identity with Susana Perczek — specifically the power of hearing a woman speak positively about herself without apology. Rachel explores the generational messages many of us received about “not being too big for your britches” and how those lessons often left us afraid to celebrate our own talents. She shares personal stories about holding back from stepping into leadership as a young student, and how learning to name and honor her strengths became an essential part of her healing. This episode invites listeners to consider where they fall on the spectrum between self-effacing and self-affirming, and to imagine what it would feel like to confidently raise their hand and say, “I want to be known for this.”
★ Support this podcast ★

What is Lonely at the Top?

The podcast for high-level leaders carrying the invisible weight of the world.
If you’re a founder, executive, or high-ranking leader, you already know this truth: the higher you rise, the fewer people you can safely talk to.

Lonely at the Top is a sanctuary in the storm—a space where the emotional cost of leadership is named, and where relief, clarity, and grounded support are always on the table.

Hosted by Soul Medic and former psychotherapist Rachel Alexandria, this podcast dives into the unspoken realities of high-level decision-making: the pressure, the isolation, the doubt, and the fatigue. Each episode offers insight, emotional tools, and conversations with seasoned leaders who’ve learned to navigate the weight of responsibility without losing themselves.